Therapeutic efficacy of Mandura Bhasma and Rohitakarishta in Severe Anemia: A Classical Ayurvedic Approach

Background: Severe anemia remains a major public health issue among children, particularly in low-resource settings. Iron deficiency is the most common cause, and while conventional iron supplements are effective, they often cause gastrointestinal side effects and poor compliance. Ayurveda offers traditional remedy for anaemia, with historical usage in paediatric cases. Aim: To evaluate the therapeutic role of Mandura Bhasma and Rohitakarishta in improving hemoglobin levels and clinical symptoms in a child with severe anemia. Materials and Methods: A 10-year-old child presented with symptoms of pallor, fatigue, and reduced appetite. Laboratory investigations revealed severe anemia. After ruling out hemolytic and malignant causes, a treatment regimen including Mandura Bhasma, Rohitakarishta and iron-rich dietary recommendations was initiated. In between time, continuous monitoring of hemoglobin, iron profile levels and clinical improvement noticed. Results: By the end of the treatment period, the child's haemoglobin level increased significantly. Clinically, there was drastic improvement in energy levels, appetite, and overall well-being. No adverse effects were reported throughout the intervention. Conclusion: This case suggests that Mandura Bhasma and Rohitakarishta in combination with Ayurvedic supportive therapies, can be a safe and effective approach in the management of severe anaemia in children. Further controlled studies are recommended to substantiate these findings and standardize paediatric dosing guidelines.